IndividualActive
Adam Johnson, PTA
NPI 1740384759 · Physical Therapy Assistant · Marion, IL
Provider details
- NPI number
- 1740384759
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2907 Williamson Co Parkway
Marion, IL 62959
Phone: (618) 998-9894
Approximate (ZIP-level) locationGet directions
Mailing address
500 N Fair St
Marion, IL 62959
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.